F2387-C54375
C54375
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery psychiatric history type
Type psychiatric history disorder as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Subacute
F2387-C54377
C54377
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery other psychiatric disorder other text
Text for other psychiatric disorder as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Subacute
F2387-C54378
C54378
Acute Concussion Evaluation (ACE) - Risk factors protracted recovery comorbid medical disorders medication usage text
Text for other comorbid medical disorders or medication usage as a risk factor that may protract the subject/participant recovery process since injury as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Subacute
F2387-C54380
C54380
Acute Concussion Evaluation (ACE) - Red flags acute emergency management type
Type of red flags for acute emergency management as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Subacute
F2387-C54390
C54390
Acute Concussion Evaluation (ACE) - Diagnosis (ICD) concussion type
Type of ICD diagnosis of concussion as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Subacute
F2387-C54391
C54391
Acute Concussion Evaluation (ACE) - Follow-up action plan type
Type of follow-up plan of action for subject/participant as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Subacute
F2387-C54392
C54392
Acute Concussion Evaluation (ACE) - Follow-up action plan physician clinician office monitoring date
Date of physician/clinician office monitoring follow-up plan of action for subject/participant as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Subacute
F2387-C54393
C54393
Acute Concussion Evaluation (ACE) - Follow-up action plan referral type
Type follow-up plan of action referral for subject/participant as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Subacute
F2387-C54394
C54394
Acute Concussion Evaluation (ACE) - Follow-up action plan referral physician type
Type follow-up plan of action referral physician for subject/participant as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Subacute
F2387-C54395
C54395
Acute Concussion Evaluation (ACE) - Follow-up action plan referral physician type other text
Test of other type follow-up plan of action referral physician for subject/participant as related to the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Subacute
F2387-C54396
C54396
Acute Concussion Evaluation (ACE) - ACE reporter text
Person/individual administering the Acute Concussion Evaluation (ACE)
Supplemental
Acute Concussion Evaluation (ACE)
False
Sport-Related Concussion
Subacute
F0371-C07080
C07080
Alcohol Use Disorders Identification Test (AUDIT) - Drink contain alcohol frequency score
Score for the frequency with which the subject consumes alcoholic drinks, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Comprehensive
F0371-C07081
C07081
Alcohol Use Disorders Identification Test (AUDIT) - Alcohol drink typical day number score
Score for the number of drinks the subject consumes on a day he or she is drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Comprehensive
F0371-C07082
C07082
Alcohol Use Disorders Identification Test (AUDIT) - More than 6 alcohol drink frequency score
Score for the frequency with which the subject consumes six or more alcoholic drinks on a single occasion, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Comprehensive
F0371-C07083
C07083
Alcohol Use Disorders Identification Test (AUDIT) - Cannot stop drink alcohol frequency score
Score for the frequency within the last year with which the subject found himself or herself unable to stop drinking once he or she started, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Comprehensive
F0371-C07084
C07084
Alcohol Use Disorders Identification Test (AUDIT) - Fail normal activity drink frequency score
The frequency with which the subject found himself or herself unable to perform normal tasks due to drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Comprehensive
F0371-C07085
C07085
Alcohol Use Disorders Identification Test (AUDIT) - Morning drink after frequency score
The frequency with which the subject found himself or herself in need of an alcoholic drink in the morning due to a heavy drinking session the night before, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Comprehensive
F0371-C07086
C07086
Alcohol Use Disorders Identification Test (AUDIT) - Guilt remorse after drink frequency score
Score for the frequency within the last year with which the subject found himself or herself with feelings or guilt or remorse after drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Comprehensive
F0371-C07087
C07087
Alcohol Use Disorders Identification Test (AUDIT) - Cannot remember night before frequency score
Score for the frequency within the last year with which the subject was unable to remember what happened the previous night due to drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Comprehensive
F0371-C07088
C07088
Alcohol Use Disorders Identification Test (AUDIT) - Drink injury indicator score
Score for the indicator of whether someone that the subject knows was injured due to his or her drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Comprehensive
F0371-C07089
C07089
Alcohol Use Disorders Identification Test (AUDIT) - Relative friend doctor concern indicator score
Score for the indicator of whether a relative, friend, doctor, or other health care workers has been concerned about the subject's drinking or suggested the subject cut down, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Comprehensive
F0371-C07090
C07090
Alcohol Use Disorders Identification Test (AUDIT) - Total score
The subject/participant's AUDIT total score (0-40), as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Comprehensive
F0371-C07080
C07080
Alcohol Use Disorders Identification Test (AUDIT) - Drink contain alcohol frequency score
Score for the frequency with which the subject consumes alcoholic drinks, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Persistent/Chronic
F0371-C07081
C07081
Alcohol Use Disorders Identification Test (AUDIT) - Alcohol drink typical day number score
Score for the number of drinks the subject consumes on a day he or she is drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Persistent/Chronic
F0371-C07082
C07082
Alcohol Use Disorders Identification Test (AUDIT) - More than 6 alcohol drink frequency score
Score for the frequency with which the subject consumes six or more alcoholic drinks on a single occasion, as part of the Alcohol Use Disorders Identification Test (AUDIT)
Supplemental
Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)
False
Sport-Related Concussion
Persistent/Chronic